Mesenteric Vein occlusion
Diagnosis is made with contrast CT or angiography.
Treatment is long term anticoagulation. Surgery is reserved for bowel infarction.

Ischemic colitis

Occlusion of branches of superior or inferior mesenteric arteries often in older age group commonly presents with sudden onset of abdominal pain and passage of bright red blood per rectum with or without diarrhea. In majority of cases splenic flexure and left colon are affected. Underlying cardiovascular disease may be evident.

On examination abdomen is distended and tender

Abdominal x- ray often shows thumb printing at the site of splenic flexure.

Medical symptomatic management is usually adequate; surgery may be required for perforation, gangrene or stricture formation.

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Dietary benefits

Dr. Adil Ramzan

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